The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Integrated Care Setting for the Elderly and the Roles of Social Workers

노인복지분야의 통합적 케어와 사회복지사의 역할

  • 윤경아 (대전대학교 사회복지학과)
  • Received : 2019.02.11
  • Accepted : 2019.03.04
  • Published : 2019.03.28
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Abstract

The objective of this study was to explore the elements and effects of integrated care interventions for the elderly, and to describe the roles of social workers on the multidisciplinary teams. A rapid systematic review was conducted through a database-based search and a manual search. The main findings are as follows: First, Key elements of integrated care for the elderly were case management, individual multidisciplinary care plan, service characteristics, centrality of client needs, patient education, and self-management. Second, In terms of care experience and health of the elderly, and economic analysis, although the results were mixed, there were some positive effects on program participants compared to the control groups. Third, social workers have been found to serve as case managers, care managers, care coordinators, and direct service providers. Based on these results, educational and policy implications were suggested.

본 연구의 목적은 노인대상 통합적 케어 프로그램의 구성 요소와 효과를 탐색하고, 이러한 프로그램에서 다학제팀의 일원으로 활동하는 사회복지사의 역할을 기술하는 것이다. 연구를 위해 신속 체계적 문헌고찰을 실시하였으며, 데이터베이스 검색과 수기 검색을 단계적으로 진행하였다. 주요 연구결과는 다음과 같다. 첫째, 노인대상 통합적 케어 프로그램의 주요 요소는 케이스매니지먼트, 개별케에플랜, 서비스 특성, 클라이언트 욕구중심, 환자교육, 자기관리로 나타났다. 둘째, 참여노인의 케어경험과 건강 및 경제적 측면에서, 결과가 혼합되어 있긴 하지만, 대조군에 비해 프로그램 참여노인에게 어느 정도 긍정적인 효과가 나타났다. 셋째, 통합적 케어 프로그램의 다학제팀에서 사회복지사는 케이스매니저, 케어매니저, 케어코디네이터, 그리고 직접 서비스 제공자의 역할을 수행하고 있는 것으로 나타났다. 연구결과를 바탕으로 노인대상 통합적 케어를 준비하기 위해 필요한 교육과 정책에 대한 제언을 하였다.

Keywords

표 1. 서비스 전달의 틀

CCTHCV_2019_v19n3_441_t0001.png 이미지

표 2. 다학제팀의 주요 활동과 사회복지사의 역할 및 통합적 케어 프로그램의 효과

CCTHCV_2019_v19n3_441_t0002.png 이미지

표 2. 계속

CCTHCV_2019_v19n3_441_t0003.png 이미지

표 2 계속

CCTHCV_2019_v19n3_441_t0004.png 이미지

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